Remote Senior Workers' Comp Claims Specialist

Ultipro; Folsom, Northern (CA, KY); Hybrid; USD 85,000 - 115,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) plan

Paid time off

Job summary

CorVel is seeking a Senior Workers’ Compensation Claims Specialist to manage complex claims, coordinate with case managers and attorneys, and oversee subrogation and settlements. This remote role emphasizes customer service and adherence to client and carrier guidelines.

The position requires a bachelor’s degree or equivalent, at least 3 years of claims experience, and appropriate state licensure. A comprehensive benefits package accompanies full-time employment.

Qualifications

• Bachelor’s degree or equivalent in a related field or experience.
• Minimum 3 years’ industry experience with claim handling.
• State certification or license as a claims adjuster is required.
• Current Workers’ Compensation licensing must be maintained.

Responsibilities

• Receive WC claims, confirm policy coverage and claim acknowledgement.
• Determine validity and compensability by investigation and documentation.
• Establish reserves and authorize payments within limits.
• Develop action plans with case managers to reduce costs.
• Coordinate early return-to-work with relevant parties.
• Manage subrogation, litigation, and recoveries as applicable.
• Report claims to excess carriers when needed.
• Communicate claim status to customers and claimants.
• Adhere to guidelines and participate in reviews; maintain professional relationships.
• Comply with state regulations and IIPP safety rules.

Education

Bachelor's degree or related experience

Self-Insured Certificate

State certification or license as claims adjuster

Workers’ Compensation license

Tools

Microsoft Office

Excel

Job description

CorVel is seeking a Senior Workers’ Compensation Claims Specialist to manage complex claims, coordinate with case managers and attorneys, and oversee subrogation and settlements. This remote role emphasizes customer service and adherence to client and carrier guidelines.

The position requires a bachelor’s degree or equivalent, at least 3 years of claims experience, and appropriate state licensure. A comprehensive benefits package accompanies full-time employment.